MEDICARE: JOSEPH AGRIS M.D. DDS F.A.C.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	E6705	TX

General Provider Information

NPI Number	:	1851384226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH AGRIS M.D. DDS F.A.C.S

Provider Business Mailing Address
First Line	:	6560 FANNIN
Second Line	:	STE. 1730
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-797-1700
Fax Number	:	713-797-6292

Provider Business Practice Location Address
First Line	:	6560 FANNIN
Second Line	:	STE. 1730
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-797-1700
Fax Number	:	713-797-6292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	11/24/2010

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